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KMID : 0358420080510111389
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Korean Journal of Obstetrics and Gynecology
2008 Volume.51 No. 11 p.1389 ~ p.1395
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A case of intestinal obstruction caused by intestinal endometriosis
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Shin Ji-Eun
Na Young-Jeong
Lee Cahn
Jeong Sang-Geun
Park Hye-Ri
Kim Tae-Heon
Hwang Youn-Yeung
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Abstract
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Endometriosis is a common disease in women of reproductive age, intestinal involvement has been estimated to occur in 3% to 37% of women with endometriosis, in rectosigmoid colon, appendix, ileum and cecum, in order of decreasing frequency. On the other hand, endometriosis of the small bowel, especially symptomatic small bowel involvement, is very unusual. Endometriosis is a rare cause of intestinal obstruction, and preoperative diagnosis is very difficult. It should be considered in the differential diagnosis of women of reproductive age who present with symptoms of obstruction. The definitive treatment includes resection of the involved segment with primary anastomosis. We report a 34-year-old woman following up infertility and ovarian endometrioma. She had nausea, vomiting and low abdominal pain who was operated on acute intestinal obstruction. Pathologic finding was endometriosis involving the ileum, cecum, appendix We present the case with a brief review of literature
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KEYWORD
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Endometriosis, Intestinal obstruction, Ileum
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